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Home My WebLink About010-841-25-5215-LUP-2022-534 SUBMITGOMPLETED APPLICATION AND �, FEEro: APPLICATION FOR LAND USE PERMIT r, ) �J Sawyer County v { Zoning&Conservation Depart. - : �, (� 10610 Main St Suite 49 `"e ��`� ;; �ate i a l a�'/�� 1 Hayward,WI 54843 - `� ��ls,6�-az88 DEC 2 1 2022 chk#_�,��i c� . s INSTRUCTIONS: No permits will be issued untii aU fees are paid. SAY��ER COUNTY 7�eCpttf�l,�M1�;�('i� �l�S�Q Checks are made payable to:Sawyer County Zoning Department. � � _I'�� DO NOT START CONSTRUCTION UNTII ALL PERMITS HAVE BEEN ISSUED TO APPLiCANT. Original Application MUST be SubTitted FILL OUT IN INK�O PENCIL) Submittal o}this application or receipt of fees�does not constitute permit issuance. Owner(s)Name: Contractor(s)Name -.�^�C� �d✓ c�� F�' �'1�4� ��`� Mailing Address: Mailing Address: �G�� /� �-UP�'1./!l/G� �� Phone: �I�'�/ Z ' Q��v Phone: r� � Email: Y !t`_t'� � � Email: Site address: (�V�-� Or Date ap lied far: Legacy PIN# ��'" fY L{�'" �S`S,`�I S Town oi: L�J l�d Permk delivery Method all Owner ail Owner ❑Cali Contrector ❑Mail Contractor 'Is Property/Land within 300 feet of River,Stream {;nci. Distance Structure 3 from Shoreline: is your Property Intermittent) —� 1 �S feet in Floodplai» Are Wetla�ds Creek or Landward side of Floodplain? �f yes---continue < <� zone7 Prcknt? Shoreland Yes - Is Property/Land within 1000 feet of lake,Pond or Flowage Distance Structure is from Shoreline: Yes ro If yes---continue —► feet No 'J Non-Shoreland Describe Project Total#of value atTime of project type Foundation What Type&Capacity is the Completion Number bedrooms 'indude donated (House,garage,shed,deck, (Basement, Sewer/Sanitary System�s) Addition,etc...) of Stories Crawlspace, Post time&material ��st separately Sldb construction ) 5 � � ' , / 6 r� c� � r� Dwelling $ l vv� ��; Accessory Bldg �� S _ _ . ��el�?:.�. ... _ � Additioa/Alteration Height: TotalSquare lowest Proposed Use ✓ Proposed Strudure Dimensions Footage Grede to (mult(ply per Highest story) Peak Residence � X � Ft. with 2nd story or loft l X , Ft. with easement ( x � Ft. Attached Garage { x � �Residential Use Ft. ACCCSSOry StruCtu�e(explain) � x � 7� ❑ Agrieultural (detachedgaroges,sheds,boathouses,etc.) �"� �� Ft.'� "� X Use Temporery Guest Quarters or Bunkhouse(ci�de rype) � ) Ft. ❑ Commercial/ Deck/Porch/Patio ( X � Industriai Use Ft. (2"d)Deck/Porch/Patio � x � ❑ Municipal Use Ft. Other(explatn� � X � Ft. � Other t x ) Prineipal Strudure(agricuit�rai,commerdai,Municipal,ecc.l Ft. ( X ) Addition/Alt�ration(explain� Ft. Totai habitable square feet: Total Non-habitable square feet: /-, (decks,patios,gareges,sheds,storage area&other structures) ! V�� Original Application MUST be submitted Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:�Must"Include location and setback of proposed and existing structures,roads, driveway,sanitary components,weli,lake,river,stream,a�d wetlands. Description Setback Setback Measurements Description — Measurements Setback from the Centeriine of Platted Road and/or j} Feet Setback from the Lake(ordinary high-water mark� Feet Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Feet Setback from the Bluff if applicable Feet Setback from the North Lot Line Feet Setback from the South Lot Line Feet Setback from Wetland Feet Setback from the West Lot Line feet 51ope within area of construction/disturbance %Slope Setba�k from the East Lot Line Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank Feet Setback to Well Feet Setback to Drain Field Feet Setback to Privy(Portable,Composting) Feet Prlo�to the p!acement cr constru�tion of a sVucture within five(5)feet of the minimum required setback,the boundary iine frorn which the setback must be measured mus[be visible from one previously wrveyed corner to the o[her previously surveyed corner or marked by a licensed surveyor at the owner's expense. Prior to the placement or construction of a structure more than five(S)feet but less than ten(10)feet from the minimum required set6ack,the boundary line from which the setback must be measured must be visible from one previously surveyed comer to the other previously surveyed corner,or verifiable by the Department by use ot a mrrected compass From a known comer within 500 feet of the proposed site of the stru�ture,or must 6e marked by a licensed surveyor at the awner's expense. __-- � � . ��• • �. � • Calculate impervious surFaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrete.The Zoning Office can help you determine if a wrface is considered imperviaus) talculate lot area: � �^ Indicate lot size from CSM o OVUS circle one): � � l Acres;Multiply by 43,560=Lot area: U�G/� Square Footage Calculate impervious surface area: Determine the total size,in square feet,of your projects listed above(include eaves):_ � �_\�� sq ft. i Determine the total size,in square feet,of ali existing roofed structures(include eaves : �� c -:---�--5p ft. Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: �� sq ft. Add these measurements to determine total impervious surfaces: ��,��C� i sq ft. Calculate impervious lot percentage Total impervious surface:��Lot area:�r��`----�Sq ft.X 100=impervious surface 1 � +� % (Mitigation is required if total ezceeds 15%) "�Notite a separate grading permit needs to be obtained if disturbed area is within the Shoreland district as indicated on previous page and meets criteria below•'s Grading on a slope greater than 20% Grading of more than J„000 Sq.Ft.on 12/-20%slopes Grading of more than 2 000 Sq.Ft.on Slopes less than 12% Grading is in excess of 1D 000 Sq Ft FAILUR[-�O OI1TqIN A PEkMIT or STARTING CONSTkUCTION WITHOUT A VERMIT WILL RESiiLT IN PENALTIES 1(we}deciare that this application(including any accompanying Information)has been examined by me(us)and to the best of my(our)knowledge and belief it is true,correc[and cornplete. 1(we)acknowledge that I(we)am(are)responsible for the detail and accurecy of all information I(we)am(are)providing and that it will be relied upon by Sawyer County in determining whether to issue a permit. I(we)further accept liability which may be a result of Sawyer County relying on this information I(we)am(are)providing in or with this application.I(we)consent to county officials charged with administering county ordinances to have access to the above described property at any reasonable time for the purp ' n-�Ad ' nally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officials. Owner � /` Signatur Printed name �F'P tJ t QY,��/G/lpate l �r 7—'�- r ��ignature and Prin[ed Name required) NOTICE: All Land Use Pennits Expire One(1)Year from the Date of ssuance. For the Construction Of New One&Two Family Dwelling: t�LL Municipalities Are Required To Enforce The Uniiorm Dwelling Code. The local?uwn,State or Federal agencies may a�so reyuire permits. You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsin.You are also responsible for complying with State and Federal laws�oncerning construction near or on wetlands,lakes,and streams.Failure to comply may result in removal or modification of construction that violates the Iaw or other penalties or costs. For more informatlon,visit the department of natural resources wetlands identification web page or contact a departmeni of natural resour[es service center(608)267-3125 Issuance information(County Use Only) Sanitary Number: it of bedrooms: Permit De�ied(Date�; Reason for Denial: Permit tl: Issuing agent: ,. Date: Z�— j .5`� G��G� \� ��` /ag aa Is Parcel a Sub-Standard Lot !i Yes (Deed of Record) �'No Is Parcel(n Common Ownershi Mitigation Required C�Yes �l�Vo p �NFYes (Fused/Contiguous Lot�s)) i i No Mitigation Attached !_i Yes !fNo Is Structure Non-Conforming ;i Yes �No Granted by Variance(B.O.A.) Granted by Conditional Use ❑Yes ��lo Case q: ?Yes�/"No Case il: Was Parcel Legaily Created �Yes n No Were Property Lines Represented by Owner l�1 Yes No Was Proposed Building Site Delineated �'�/Yes IJ No Was Property Surveyed �Yes No Office Comments: 2one District: Fee: �1'-. I �� Hold For Sanitary� ! ; Hold For TBA: Hold For AffidaviL : Hold For Fees: _ J �Fe62�21 12/21/22,9:54 AM Novus-Wisconsin Access rev.13.1108 Real Estate Sawyer County Property Listing Property Status:Current 7oday's Date:12/21/2022 Created On:8/5/2020 1:36:52 AM �Description Updated:8/5/2020 �Ownership Updated:e/5/2020 .__.._.___. . Tax ID: 43879 J GREGORY&DEBRAH J G FAVLOVICH SURPRISE AZ PIN: 57-010-2-41-OS-25-5 OS-002-000150 legacy PIN: 010841255215 Billing Address: Mailing Address: Map ID: J GREGORY 8 DEBRAH J G J GREGORY&DEBRAH I G Municipality: (010)TOWN OF HAYWARD PAVLOVICH VAVLOVICH STR: 525 T41N R08W 17425 N WHITE TANK VISTA ll425 N WHITE TANK VISTA Description: PRT GOVT LOT 2 LOT 1 CSM 36/252 SURPRISE AZ 65374 SURPRISE AZ 85374 #8465 Recorded Acres: 2.110 �Site Address *indiwtes Priva[e Road Lottery Claims: 0 10169N COMSTOCK RD HAYVJARD 54843 First Dollar. Yes Waterbody: Round Lake Zoning: (RRS)Residential/Recreational One �Property 0.ssessmen[ _Updated:4/18/2022 ESN: 444 2022 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL Lll0 604,400 307,900 7ax District5 Upda[ed:8/5/2020 1 SWte of Wismnsin Z-YearComparison 2021 2022 Change 57 Sawyer County Land: 604,4�0 604,400 0.0% O10 Town of Hayward Improved: 266,400 307,900 7.5°/ 92478 Hayward CommuNty Sthool Distri[t Total: 890,800 912,300 2.4°/ 001700 Technical College �+ Recorded Documents Updated:12/11/2013 �proper[y History O CERIIFIED SURVEY MAP parent Properties Tax ID Date Recorded:6/19/2020 424528 9-010-2-41-OB-25-5�5-002-000050 11279 O PERSONAL REPRESENTATIVES DEED 57-010-2-41-OB-25-5�5-002-000110 11285 Da[e Recorded:6/28/1994 242592 O EASEMENT Date Recorded:11/22/2013 368418 O SHORELAND RESTORATION/VRESERVA7ION AGREEMENT Date Recorded:10/9/2013 387669 HISTORY O Expand AII History White=Current Parcels Pink=Retired Parcels O Tax ID:11265 Pin:57-010-2-41-OB-25-5 OS-002-000110 Leg.Pin:010841255211 Map ID::2.11 O Tax ID:11279 Pin:57-010-2-41-OB-25-S OS-002-000050 Leg.Pin:010841255205 Map ID::2.5 43879 This Parcel Parents Children https:/ttas.sawyercounrygov.org//Access/master.asp �� ' -.�". ±'�. _ .�y'i* `:.� '�`��. r^ry� :s; ,�,F - r '� _ : r f ti ¢�:��°�' ` '��.c^�, _ �. s�e- ; � � ' "r g�:.'+fi.�t" �.5...- '''�'� .��TMa��' . _3 ' .t,gt +. � ` • • I i er -� ' a_ � � � N� '�7 ' , •R �.• } �'Fy ` � + 4 ✓.' ,. ! z ' . a5'��'# . � m %c'��a � V � .. �, .:t # w Y :. 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